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Open Access

Endotoxin enhances the fibrinolytic activity of monocytes incorporated in a fibrin clot

  • A Grosjean1,
  • K Zouaoui Boudjeltia1,
  • M Piagnerelli2 and
  • M Vanhaeverbeek1
Critical Care20059(Suppl 1):P155

Published: 7 March 2005


Public HealthEmergency MedicineTissue FactorFibrinolytic ActivityFibrin Clot


In sepsis, one of the most important problems is the modification of the hemostasis balance with activation of the coagulation. This is due, in part, to increased expression of tissue factor at the monocyte surface [1]. In these patients, we also observe a systemic hypofibrinolysis [2]. However, it is known that leukocytes have a profibrinolytic potential [3].


To explore the role of monocytes in the fibrinolytic balance.

Materials and methods

THP-1, a monocytoïd cell line, was challenged or not with 10 μg/ml lipopolysaccharide during 4 hours, before being introduced in an euglobulin clot lysis time assay, measured by a new semi-automatic method [4]. Resting cells were introduced in the assay at concentrations ranging from 0.25 × 106 cells/ml to 106 cells/ml and stimulated cells at the concentration of 106 cells/ml. Control without cells is the baseline. Statistics used analysis of variance.


First, we observed a gradual diminution of lysis time with resting cells, from 12% to 25% of the baseline, according to the concentration of cells (n = 6; P < 0.001). Then, when we added stimulated THP-1, we observed a greater diminution of lysis time: 31% of the baseline (n = 8; P < 0.001 from the baseline and P < 0.05 from resting cells).


Monocytes play a role in the fibrinolytic balance and this role is enhanced when they are activated by lipopolysaccharide, like in sepsis. In the future, we will have to investigate why monoyctes are responsible for such an antagonism, stimulating coagulation and fibrinolytic processes, at the same time.

Authors’ Affiliations

ULB, Montigny-le-Tilleul, Belgium
ULB – Erasme Hospital, Brussels, Belgium


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© BioMed Central Ltd 2005